Organization Active NPI

Grace Nurse Practitioner in Psychiatric Mental Health.P.C

  • Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1073086997
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GRACE NURSE PRACTITIONER IN PSYCHIATRIC MENTAL HEALTH.P.C
Practice address
2742 3Rd Ave
Bronx, NY 10455-4036
Phone
(518) 331-2192
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace Adeola Adepoju, NURSE PRACTITIONERNPI 1922237163
Title
NPP
Phone
(518) 331-2192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2742 3Rd Ave
Bronx, NY 10455-4036

Mailing address

308 Hamilton Place Hackensack New Jersey
Unit 2
Hackensack, NJ 07601
Phone (518) 331-2192

Other names 1

  • Grace Nurse Practitioner in Psychiatric Mental Health.P.C Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1073086997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HAMILTON PLACE HACKENSACK NEW JERSEY",
            "address_2": "UNIT 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "518-331-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554036",
            "telephone_number": "518-331-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE NURSE PRACTITIONER IN PSYCHIATRIC MENTAL HEALTH.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "ADEPOJU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ADEOLA",
        "authorized_official_title_or_position": "NPP",
        "authorized_official_telephone_number": "518-331-2192",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Nurse Practitioner in Psychiatric Mental Health.P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.